MEDICARE: CHLOE CHANNING DAVIS PT, DPT, LAT, ATC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2255A2300X	Athletic Trainer	36003625A	IN
2	225100000X	Physical Therapist	05016182A	IN

General Provider Information

NPI Number	:	1104484302
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHLOE CHANNING DAVIS PT, DPT, LAT, ATC

Provider Business Mailing Address
First Line	:	13873 COACH CIRCLE DR
Second Line	:
City	:	GRANGER
State	:	IN
Zip	:	46530-4807
Country	:	US
Telephone Number	:	574-276-2755
Fax Number	:

Provider Business Practice Location Address
First Line	:	125 S PENNSYLVANIA ST
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46204-3610
Country	:	US
Telephone Number	:	317-917-2500
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/03/2019
Last Update Date	:	03/24/2026

Similar Medicare Providers

1437140662 — JOSHUA DAVID CORBEIL PT, ATC, CSCS, PES,
Practice Location Address:

125 S PENNSYLVANIA ST
INDIANAPOLIS, IN
46204-3610

Practice Phone: 317-917-2940
Practice Fax: 317-917-2929

1124224407 — MR. CARL OWEN EATON P.T, A.T.C.
Practice Location Address:

125 S PENNSYLVANIA ST
INDIANAPOLIS, IN
46204-3610

Practice Phone: 317-917-2942
Practice Fax:

1659398022 — WAL-MART STORES EAST LP
Practice Location Address:

9920 E 30TH ST
INDIANAPOLIS, IN
46229-3610

Practice Phone: 317-895-6016
Practice Fax:

1619111796 — MEDICARE SUPPLY STORE
Practice Location Address:

3510 S KEYSTONE AVE
INDIANAPOLIS, IN
46227-3610

Practice Phone: 317-215-5883
Practice Fax: 877-783-2054

1790153245 — A1 COMFORT RIDE LLC
Practice Location Address:

3510 S KEYSTONE AVE
INDIANAPOLIS, IN
46227-3610

Practice Phone: 317-760-8290
Practice Fax:

1558060426 — GENISIS ADULT DAY CENTER
Practice Location Address:

10741 MISTFLOWER WAY
INDIANAPOLIS, IN
46235-3610

Practice Phone: 317-490-1668
Practice Fax:

Directions to “ CHLOE CHANNING DAVIS PT, DPT, LAT, ATC” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.